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<br />PUBLIC WORKS SERVICES DEPARTMENT 11 <br />Flygt Sewage and Storm Pump Preventative Maintenance Project <br />Attachment A – Liquidated Damages Clause <br /> <br />*NOTE: THIS FORM MUST BE COMPLETED AND INCLUDED WITH YOUR PROPOSAL* <br /> <br />SIGNATURE AUTHORIZATION <br /> <br />NAME OF PROPOSER/FIRM: <br /> <br /> <br />A. I hereby certify that I have the authority to offer this proposal to the City of Redwood City <br />for the above listed individual or company. I certify that I have the authority to bind myself/this <br />company in a contract should I be successful in my proposal. <br /> <br />__________________________________ <br />SIGNATURE <br /> <br />__________________________________ <br />PRINT NAME <br /> <br />B. The following information relates to the legal contractor listed above, whether an <br />individual or a company. Place check marks as appropriate: <br /> <br />1. If successful, the contract language should refer to me/my company as: <br /> <br />__ An individual; __________________________________ <br />__ A partnership, partners' names: __________________________________ <br />__ A company; __________________________________ <br />__ A corporation __________________________________ <br /> <br /> <br />2. My tax identification number is: __________________________________ <br /> <br />ADDENDA ACKNOWLEDGMENT: <br />Acknowledgment of Receipt of any Addenda issued by the City for this RFP is required by <br />including the acknowledgment with your proposal. Failure to acknowledge the Addenda issued <br />may result in your proposal being deemed non-responsive. <br /> <br />In the space provided below, please acknowledge receipt of each Addenda: <br /> <br />Addendum(s) # ________________________________ is/are hereby acknowledged. <br /> <br />6.1.A. - Page 28